Provider Demographics
NPI:1508283482
Name:SOBKY, CHRISTIAN NADER (MD)
Entity Type:Individual
Prefix:
First Name:CHRISTIAN
Middle Name:NADER
Last Name:SOBKY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3614 CYPRESS MEADOWS RD FL 3
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33624-2912
Mailing Address - Country:US
Mailing Address - Phone:813-841-4291
Mailing Address - Fax:
Practice Address - Street 1:3614 CYPRESS MEADOWS RD
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33624-2912
Practice Address - Country:US
Practice Address - Phone:813-841-4291
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-27
Last Update Date:2019-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA301387207P00000X
390200000X
FLME132030207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program